Comparative Study between Combined Infraclavicular-Suprascapular Nerve Blocks versus Interscalene Block for Post-Operative Analgesia in Arthroscopic Shoulder Surgery | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 270-276 PDF (636.71 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446500 | ||||
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| Authors | ||||
| Mamoun Muhammad Ismail1; Mohamed Abdelgawad Abdelhalim Aboelsoud2; Islam Ahmed Ahmed Abdel Wahab* 3 | ||||
| 1Professor of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 2Assistant Professor of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 3MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Recovery from arthroscopic shoulder surgery may be impeded by moderate to severe postoperative discomfort. As a result of narcotic side effects or insufficient pain management, a large number of patients end up in the hospital again after ambulatory surgery. Aim and objectives: When it comes to arthroscopic shoulder surgery pain management, we want to see how well an interscalene block works compared to a combination infraclavicular-suprascapular nerve block. Subjects and methods: From January 2024 through January 2025, sixty patients were randomly recruited from the anaesthesia clinics at Al-Azhar University Hospitals to participate in this prospective clinical comparative double-blind randomised study. We used a systematic random sampling procedure to gather our samples. Results: There was a statistically significant difference in heart rates between the interscalene block group and the combined block group (p=0.003). In terms of the other vital indicators, no significant variations were detected. The laboratory results did not show any statistically significant difference between the combined block group and the interscalene block group. Concerning the incidence of complications, there was no statistically significant distinction between the Interscalene block group and the combined block group (p>0.05). Regarding the post-operative pain score, there was no significant distinction between the Interscalene block group and the combination block group (p>0.05). Conclusion: Concerning postoperative analgesia and the occurrence of complications (pneumothorax, haematoma, local anaesthetic toxicity), there was no statistically significant distinction between the ISB group and the mixed nerve groups. Regardless, the incidence of unilateral diaphragmatic paralysis was greater in the ISB group, and both groups had an acceptable satisfaction score. | ||||
| Keywords | ||||
| Interscalene block; Arthroscopic shoulder surgery; Infraclavicular-suprascapular nerve blocks | ||||
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